CBL教学法结合导航软件在神经外科住院医师规范化培训中的应用

目的  分析以案例为基础的教学法（case-based learning, CBL）结合多模态神经导航软件在神经外科住院医师规范化培训中的作用。方法  选择2017-2020年在苏州大学附属第一医院神经外科进行住院医师规范化培训（简称规培）学员（共595名）作为研究对象，并按照带教模式分为传统教学组与CBL教学组。按照教学大纲完成神经外科规培后统一进行测试，比较两组的成绩差异。结果  对比传统教学组与CBL教学组经培训后考核成绩，较培训前均有提高，CBL教学组学员成绩提高更为明显，差异均有统计学意义（P<0.05）。结论  在神经外科住院医师规范化培训中采用CBL教学法结合多模态神经导航软件能够满足规培中心的教学要求，能够有效解决教学过程中神经影像学方面的授课难点，能有效提升学员的考核成绩，使学员具有更强的临床思维能力。

Application of CBL combined with neuro-navigation system in standardized training for residents in neurosurgery department

Objective  To analyze the role of CBL combined with multi-modality neuro-navigation system in standardized training for residents in neurosurgery department. Methods  A total of 595 standardized training residents in neurosurgery department of the First Affiliated Hospital of Soochow University from 2017 to 2020 were divided into traditional teaching group and CBL group. After completing the neurosurgery training, the test was carried out and the difference between the two groups was compared. Results   The examination results of both the traditional teaching group and CBL group were improved after training, and CBL group with better results, and the differences were statistically significant (P<0.05). Conclusion  The application of CBL combined with multi-modality neuro-navigation system in standardized training for residents in neurosurgery department can match the requirements of the training center, effectively solve the difficulties of neuroimaging teaching process, improve the examination results of the students, and make the students have stronger clinical thinking ability.